Clinical and psychopathological analysis of emotional and cognitive disorders in patients with type II diabetes

Inter Collegas Pub Date : 2022-10-31 DOI:10.35339/ic.9.2.kon
A. Kondratenko
{"title":"Clinical and psychopathological analysis of emotional and cognitive disorders in patients with type II diabetes","authors":"A. Kondratenko","doi":"10.35339/ic.9.2.kon","DOIUrl":null,"url":null,"abstract":"The psycho-emotional state has the most significant effect on the clinical picture and course of diabetes of any type. According to many researchers, it is known that patients with diabetes suffer from depression almost three times more often than patients without it. When the patient has symptoms of depression, his emotional state is disturbed, which quite often leads to the patient's refusal of the prescribed necessary treatment, and eventually decompensation of the somatic state occurs. In turn, it causes new episodes of depression, which requires the use of psychotropic drugs and psychotherapy. A comprehensive clinical-psychopathological and psychodiagnostic examination of 82 patients with type II diabetes of moderate and severe forms was conducted. The average duration of diabetes was (7.9±5.2) years. Emotional disorders are represented by anxious, depressive, astheno-hypochondriac, hysteroform variants of psychopathological symptoms. Cognitive dysfunction is a frequent complication of type II diabetes. It is associated with both the age-related aspect of the disease and the pathological dysmetabolic cascade that forms basis of the pathogenesis of diabetic encephalopathy development. Cognitive decline in type II diabetes has a mixed (vascular-degenerative) nature and is characterized by complaints of decreased working capacity, and is marked by a decrease in memory, auditory-speech and visual modalities, slowing of thinking, decreased concentration of attention, absent-mindedness, inability to focus on performance of a certain task for a long time. The analysis of cognitive functions using the MMSE method showed that the examined patients had mild or moderate cognitive impairments in the form of a decrease in verbal memory, a decrease in the speed of calculation operations, difficulty in orientation, and a decrease in indicators of the perceptual-gnostic sphere.\n\nKeywords: cognitive disorders, emotional disorders, metabolic disorders, depression.","PeriodicalId":194632,"journal":{"name":"Inter Collegas","volume":"237 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Inter Collegas","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.35339/ic.9.2.kon","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

The psycho-emotional state has the most significant effect on the clinical picture and course of diabetes of any type. According to many researchers, it is known that patients with diabetes suffer from depression almost three times more often than patients without it. When the patient has symptoms of depression, his emotional state is disturbed, which quite often leads to the patient's refusal of the prescribed necessary treatment, and eventually decompensation of the somatic state occurs. In turn, it causes new episodes of depression, which requires the use of psychotropic drugs and psychotherapy. A comprehensive clinical-psychopathological and psychodiagnostic examination of 82 patients with type II diabetes of moderate and severe forms was conducted. The average duration of diabetes was (7.9±5.2) years. Emotional disorders are represented by anxious, depressive, astheno-hypochondriac, hysteroform variants of psychopathological symptoms. Cognitive dysfunction is a frequent complication of type II diabetes. It is associated with both the age-related aspect of the disease and the pathological dysmetabolic cascade that forms basis of the pathogenesis of diabetic encephalopathy development. Cognitive decline in type II diabetes has a mixed (vascular-degenerative) nature and is characterized by complaints of decreased working capacity, and is marked by a decrease in memory, auditory-speech and visual modalities, slowing of thinking, decreased concentration of attention, absent-mindedness, inability to focus on performance of a certain task for a long time. The analysis of cognitive functions using the MMSE method showed that the examined patients had mild or moderate cognitive impairments in the form of a decrease in verbal memory, a decrease in the speed of calculation operations, difficulty in orientation, and a decrease in indicators of the perceptual-gnostic sphere. Keywords: cognitive disorders, emotional disorders, metabolic disorders, depression.
2型糖尿病患者情绪和认知障碍的临床和精神病理分析
心理情绪状态对任何类型糖尿病的临床表现和病程都有最显著的影响。据许多研究人员称,糖尿病患者患抑郁症的几率几乎是无糖尿病患者的三倍。当患者出现抑郁症状时,其情绪状态受到干扰,往往导致患者拒绝接受规定的必要治疗,最终出现躯体状态失代偿。反过来,它会导致抑郁症的新发作,这就需要使用精神药物和心理治疗。对82例中、重度II型糖尿病患者进行了全面的临床-精神病理和精神诊断检查。糖尿病的平均病程为(7.9±5.2)年。情绪障碍表现为焦虑、抑郁、虚弱疑病症、子宫形态的精神病理症状变体。认知功能障碍是2型糖尿病的常见并发症。它与疾病的年龄相关方面和形成糖尿病性脑病发病机制基础的病理性代谢异常级联有关。II型糖尿病的认知能力下降具有混合性(血管退行性),其特征是工作能力下降,其特征是记忆力、听觉语言和视觉模式下降,思维缓慢,注意力集中程度下降,心不在焉,无法长时间专注于某项任务的表现。MMSE方法的认知功能分析显示,被检查的患者有轻度或中度的认知障碍,表现为言语记忆下降、计算操作速度下降、定向困难和感知-灵知领域指标下降。关键词:认知障碍,情绪障碍,代谢障碍,抑郁症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信